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Exploring Non-Operative Treatments for Metacarpal Shaft Fractures!
Published: Sep 20, 2024
Not every metacarpal shaft fracture requires surgery. Discover the non-operative treatments that can lead to effective recovery.
Initial Non-Operative Treatment
For non-displaced fractures, splinting is often the first line of treatment. A gutter or Burkhalter-type splint helps maintain alignment and aids in healing. Regular follow-up is crucial to monitor fracture position and healing progress.
When Surgery Can Be Avoided
In some cases, even displaced fractures can be managed conservatively. Studies have shown comparable outcomes between non-operative and surgical treatments in terms of grip strength and patient satisfaction. It's essential to evaluate each case individually.
Recovery and Rehabilitation
Immobilization usually lasts for four to six weeks, after which gentle exercises begin. Rehabilitation focuses on restoring full range of motion and hand function. Custom orthoses may assist in providing support while allowing some movement.
Frequently Asked Questions
Yes, splinting is a common non-operative treatment.
Yes, they can offer similar outcomes to surgery in some cases.
Typically, immobilization lasts four to six weeks.
Rehabilitation focuses on restoring motion and hand function.
Non-Operative Success
Non-operative treatments can be effective for many metacarpal shaft fractures, offering a path to recovery without surgery.
References
- Peyronson F, Ostwald CS, Hailer NP, et al. Nonoperative Versus Operative Treatment for Displaced Finger Metacarpal Shaft Fractures: A Prospective, Noninferiority, Randomized Controlled Trial. J Bone Joint Surg Am 2023; 105:98.
- Burkhalter WE. Closed treatment of hand fractures. J Hand Surg Am 1989; 14:390.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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